Application Form For Registration of FIRM for Supply of Local Purchase Material
* mark fields are mandatory
Details of Registration Form
Name of Firm / Company / Contractor : *
Postal Address of Firm :*
House/Plot No. :* Area/Locality :*
State :* 
Division :*  District :*
City :*   Pin Code :*
Full Address :*
CONSTITUTION OF FIRM :*
Type of Ownership :*
Communication Reference of the Company/Firm :*
Name of Owner :* Designation :*
Phone No. [Office] with STD Code : Fax No. [Office] with STD Code :
Mobile No :* E-Mail ID [Firm] :*  
Name Of Representative :*
Bank Details :*
Branch Name :* Account Name :*
Bank Name :*  Account Number :* 
IFSC Code :*
Essential Documents :*
GST. No. :* PAN Card :*
* * (Only In .Jpg/.Jpeg/.Pdf Format and 10KB-1MB is Allowed)
Owner's Photo Identity Proof : *
Proof for Bank details : *
Address Proof :*
Pan Card : *
GST. No. : *